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Cast Syndrome

- Discussion:
- cast syndrome results from obstruction of third portion of the duodenum by superior mesenteric artery leading to high intestinal
- in the past, it occurred most often following Harrington rod instrumentation for scoliosis which was followed by application of a body cast;

- Clinical Findings:
- typical presentation: is abdominal pain, distension and vomiting following application of a spica cast;

- Treatment:
- treatment consists of NG tube suction and IV fluid for 3 to 4 days;
- occassionally these symptoms are intractable and require surgery consisting of a side to side duodenojejunostomy



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